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... Spring 2024 MUAC Commencement Address Peter Kenney The Greek philosopher Heraclitus once said, The ...

... I would like to start off by saying thank you to everyone who is here today. To all the parents, siblings, and friends as well as everyone else here to celebrate with us, I know I speak for all my classmates when I say that we love you all and cant thank you enough for your support. For those of you who do not know me my name is Matteo Lindia, I am a business major, and baseball player from Calgary Canada. When I was asked about a month ago to speak about my faith to everyone today I was first off greatly honored. I was also very thankful to be able to have an opportunity to speak about God and his impact on my life. However, I was also slightly hesitant . I viewed this as an opportunity that I am not worthy of. I was really nervous that my pride, and my own will would be at the forefront ,as opposed to the Lords. St. Peter says in the bible, Whoever speaks should do so as one who is speaking the very words of God. I found this to be a lot of pressure. How can I, despite my own flaws, and my own shortcomings somehow speak what God wishes me to speak? Well first off I prayed, I asked him. What would you like me to say Lord. I then offered this speech and this opportunity to him, and echoing the words of the Blessed Mother at the annunciation I said Let it be done unto your will. Now the task at hand was to prepare a speech about how my faith has grown while at school here. There are so many things to say about this that I could be here all day. There are so many people here who have had an impact on me, as well as so many moments and experiences that have helped me to grow in faith. Not sure how to begin I then went and looked at one of the greatest preachers of all time and how he used to prepare to speak the very words of God. St Dominic was a priest in the 12th century who was so exceptional with his words that his religious community was literally called the order of preachers. He is considered to be one of the church's greatest evangelizers and preachers. So, how did St Dominic prepare every time he had to deliver the faith? He simply prayed the most holy rosary. For those who are not Catholic or who do not know, the Holy Rosary is a scripture based prayer where one meditates on the life of Christ. Now, this method of preparation was easy for me, for over a year I have prayed the rosary daily and it has been a tremendous source of grace in my life. So I prayed it once more, with the intention of this speech. What I found in prayer was truth. I knew that what I needed to share with you all is the very practice that helped me write this speech. The devotion that for over a year has shown me tremendous grace in all aspects of my life. Of course I am once again speaking of the Most Holy Rosary. My devotion to the rosary began sometime in my freshman year here. I had been trying to grow deeper in my faith and I remembered the rosary from my childhood. Up to this point I had maybe prayed it twice in the ten years prior, but randomly I chose to pick it up again. At first it was just when I would feel anxious and overwhelmed. Whether it be with school or baseball or a personal matter, I would pray and be comforted. The truth, although I didn't fully understand it at the time, is that everytime you pray the rosary, you are holding the hand of the Mother of God, and there is no more intimate way to know the Lord than through his mother. As I prayed more often I saw her graces begin to pour out into my life. Areas where I used to feel nothing but stress I now felt peace. As time went on I eventually started praying everyday. I would often come to this beautiful chapel and take a break from the busy world to pray. This is one of my favorite places on campus. The peace that I feel here is astounding, I am so grateful to have a place where I can just sit in silence and talk to God, and I never would have realized it if it weren't for the rosary. It doesn't take long to pray it by the way, 12-15 minutes is all it takes but in doing so virtue and good works will flourish, and It will withdraw from your heart all vanities and love of the world, and replace it with the sanctifying love of God's mercy. PAUSE The beauty of this campus is something that I never fully appreciated until I began to pray the rosary. I used to get up and go about my day, never taking the time to look around. One day I walked to the statue of the Blessed Mother, which is now my favorite spot on campus, and I prayed there. I was so greatly moved just by looking at the nature around me. The elegant forest, and the beautiful lake reflecting the clear blue sky. I had a new child like appreciation for nature and for how blessed I am to be at school that is surrounded by it. If you look at many of history's great saints, you will see they all share a devotion to the rosary. Pope Saint John Paul II said The rosary is my favorite prayer. A marvelous prayer! Marvelous in its simplicity and its depth. St.Therese the little flower described the rosary as a chain between heaven and earth. My favorite quote however is St. Padre Pio, who says The rosary is the weapon for these times. This is the epitome of truth. Prayer is not only how we talk to God but it truly is our weapon. If you desire peace in your heart, in your homes, and in your country, then pray the rosary and pray it well. I'm not sure if I would have ever realized all this if it wasn't for my experiences at this school. I truly believe that the Lord has used my time here for something great, and I know the same to be true for all of my classmates. Even if you dont fully know why yet, each moment leads us to the next and it is all by his will. I ended up at this school for a reason, and I couldn't be more grateful for it. Thank you all for listening, and now I would like to end in a quick prayer. In the name of the Father and of the Son and of the Holy Spirit, Hail, Mary, full of grace, the Lord is with thee. Blessed art thou amongst women and blessed is the fruit of thy womb, Jesus. Holy Mary, Mother of God, pray for us sinners, now and at the hour of our death. Amen. St. Francis of Assisi, pray for us. St Katharina Kasper, pray for us. In the name of the Father and of the Son and of the Holy Spirit. Amen Thank you all very much! Glory to Jesus Christ, Glory to Him forever!  ...

... Combating Contractures: Improving Rehabilitation Treatment for Patients with Chronic Spinal Cord Injuries to Regain Functional Movement and Improve Quality of Life Sadie Mauger Marian University College of Osteopathic Medicine Background NSCIS Fast Facts ~17,810 people are diagnosed with spinal cord injuries (SCI) every year, 78% in men since 2015 Most commonly caused by vehicular crashes, falls, acts of violence and sports Purpose Understand current standard of care and cost of SCI rehab. Identify successful methodologies for completing scientific research in SCI rehabilitation. Develop new strategies to more successful prevent and treat contractures that develop in patients with SCI that could hinder their rehabilitation treatment progression. SCI Impact on Daily Life Findings Standard of Care in Rehabilitation No optimal standard of care due to extensive multidisciplinary teams creating necessarily individualized treatment plans Future Directions Educating Caregivers Early identification and treatment of spasticity and contracture Teaching SCI caregivers how to actively stretch their patients to ensure they do not lose range of motion or develop contracture. Botulinum Toxin Injections Early identification of spasticity treated with Botox injections in affected muscles Temporarily paralyze the muscle preventing development of contracture from spasticity and inhibit further loss of range of motion. Injection Sites for Botulinum Toxin for Muscle Tightness After Hip Arthroplasty (Bhave et al. 2009). Biopsychosocial model of interacting factors for persons with SCI (2022). Importance of Rehabilitation Rehabilitation has proven to drastically improve the quality of life of SCI patients, however there is not a well-established standard of care. Rehabilitation of SCI is long, expensive, exhausting and can be further impacted by many secondary complications. Secondary complications are common including Pneumonia Bladder infections, UTI Pressure ulcers Deep vein thrombosis Depressive disorders Spasticity, contractures, muscle atrophy Complications are directly correlated with life expectancy and quality of life for patients with SCI. Osteopathic Neuromusculoskeletal Medicine Dependence levels for patients with SCI before (yellow) and after (blue) rehabilitation with one being total dependence (Turner-Stokes et al 2017). Bilchak et al. (2021) found repetitive exercise improves motor function after SCI by promoting synaptic plasticity via increasing formation or maintaining damaged synapses Recruiting sensory afferent and interneurons Spared supraspinal neurons Spasticity and Contractures Project Walk Boston and The Perfect Step Specialized paralysis recovery rehabilitation centers using innovative technology such as G-EO robotic walker Specialists at these facilities have identified muscle tone as a key limitation to their ability to progress patient rehabilitation treatments; preparing the body to move can often be the most cumbersome and time-consuming aspect of their sessions. Disruption of upper motor neuron inhibitory pathways can result in increased muscle tone, hyperactive reflexes, and rigidity which is termed spasticity. Increased spasticity may result in decreased range of motion of a joint leading to contracture in that joint. ~66% of SCI patients had at least one contracture within 1 year of injury (Diong et al. 2012). Utilize osteopathic manipulative treatment (OMT) to move patients muscles and joints with Stretching Gentle pressure Resistance Alignment Identify ideal manipulative techniques for treatment of contractures and improving range of motion Current and Future Research Case study with Project Walk Boston Studies exploring improved quality of life using retrospective analysis and surveys Proposal for studies to measure neutrophins in clients at these specialized paralysis recovery centers which promote neurogenesis, neuroregulation, synaptic regeneration, neuroprotection, and neuronal survival. References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Pie chart generated from data presented by Diong et al. 2012. G-EO Robotic Walker at The Perfect Step in Pomona, CA. Methods Literature Review among two databases: PubMed, Google Scholar Key Terms: SCI and rehabilitation, spasticity, contracture Data search was limited to publications after 1985, adults with chronic SCI. Initial title/abstract review with subsequent full text review was performed. Thirteen articles are included in this study. Contractures prevent patients ability to be active during rehabilitation which is integral to its success and higher activity promotes plasticity and better motor recovery. In 1985, Yarkoney et al. found a statistically significant relationship (at p < 0.01) between time before rehabilitation admission and increased numbers of contractures per patient. Research in Rehabilitation SCIRehab promotes a practice-based evidence methodology to identify most positive outcomes to improve clinical decision making and standard of care (Whiteneck et al 2009). 13. 14. Bhave, A., Zywiel, M. G., Ulrich, S. D., McGrath, M. S., Seyler, T. M., Marker, D. R., Delanois, R. E., & Mont, M. A. (2009). Botulinum toxin type A injections for the management of muscle tightness following total hip arthroplasty: A case series. Journal of Orthopaedic Surgery and Research, 4(1). https://doi.org/10.1186/1749-799x-4-34 Bilchak, J. N., Caron, G., & Ct, M.-P. (2021). Exercise-induced plasticity in signaling pathways involved in motor recovery after Spinal Cord Injury. International Journal of Molecular Sciences, 22(9), 4858. https://doi.org/10.3390/ijms22094858 BOTTE, M. J., NICKEL, V. L., & AKESON, W. H. (1988). Spasticity and contracture physiologic aspects of formation. Clinical Orthopaedics and Related Research, 233(NA;). https://doi.org/10.1097/00003086-198808000-00003 Budd, M. A., Gater, D. R., & Channell, I. (2022). Psychosocial consequences of Spinal Cord Injury: A narrative review. Journal of Personalized Medicine, 12(7), 1178. https://doi.org/10.3390/jpm12071178 Diong, J., Harvey, L. A., Kwah, L. K., Eyles, J., Ling, M. J., Ben, M., & Herbert, R. D. (2012). Incidence and predictors of contracture after spinal cord injurya prospective cohort study. Spinal Cord, 50(8), 579584. https://doi.org/10.1038/sc.2012.25 Harkema, S. J., Ferreira, C. K., van den Brand, R. J., & Krassioukov, A. V. (2008). Improvements in orthostatic instability with stand locomotor training in individuals with Spinal Cord Injury. Journal of Neurotrauma, 25(12), 14671475. https://doi.org/10.1089/neu.2008.0572 Harvey, L., & Herbert, R. (2002). Muscle stretching for treatment and prevention of contracture in people with Spinal Cord Injury. Spinal Cord, 40(1), 19. https://doi.org/10.1038/sj.sc.3101241 Nas, K. (2015). Rehabilitation of spinal cord injuries. World Journal of Orthopedics, 6(1), 8. https://doi.org/10.5312/wjo.v6.i1.8 Sadeghi, M., Mclvor, J., Finlayson, H., & Sawatzky, B. (2015). Static standing, dynamic standing and spasticity in individuals with Spinal Cord Injury. Spinal Cord, 54(5), 376382. https://doi.org/10.1038/sc.2015.160 Samejima, S., Henderson, R., Pradarelli, J., Mondello, S. E., & Moritz, C. T. (2022). Activity-dependent plasticity and spinal cord stimulation for motor recovery following Spinal Cord Injury. Experimental Neurology, 357, 114178. https://doi.org/10.1016/j.expneurol.2022.114178 Sezer, N., Akkus, S., & Uurlu, F. (2015). Chronic complications of Spinal Cord Injury. World Journal of Orthopedics, 6(1), 24. https://doi.org/10.5312/wjo.v6.i1.24 Turner-Stokes, L., Williams, H., Bill, A., Bassett, P., & Sephton, K. (2016). Cost-efficiency of specialist inpatient rehabilitation for working-aged adults with complex neurological disabilities: A multicentre cohort analysis of a National Clinical Data Set. BMJ Open, 6(2). https://doi.org/10.1136/bmjopen-2015-010238 Whiteneck, G., Cassaway, J., Dijkers, M., & Jha, A. (2009). New approach to study the contents and outcomes of Spinal Cord Injury Rehabilitation: The SCIREHAB project. The Journal of Spinal Cord Medicine, 32(3), 251259. https://doi.org/10.1080/10790268.2009.11760779 Yarkony, G. M., Bass, L. M., Keenan, V., & Meyer, P. R. (1985). Contractures complicating spinal cord injury: Incidence and comparison between spinal cord centre and General Hospital Acute Care. Spinal Cord, 23(5), 265271. https://doi.org/10.1038/sc.1985.43 Acknowledgements Thank you to The Perfect Step in Pomona, CA and Project Walk Boston in Stratham, NH for granting me access to your facilities, specialists, and managers to understand your process of rehabilitation and picking your brains about important factors of paralysis rehabilitation and how to improve it.  ...

... Indiana Audubon Society NEWSLETTER FEB.MARCH 2024 Vol.55, No.1 CLAY-COLORED SPARROW DISCOVERY ...

... learning. In 2024, this is not the standard teaching practice, but remote/ hybrid education programs do ...

... programming courses in Fall 2023 and Spring 2024 semesters. We investigate and explore varied features of ...

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